A Combination of N and S Antigens With IgA and IgG Measurement Strengthens the Accuracy of SARS-CoV-2 SerodiagnosticsUniv Turku, Inst Biomed, Infect & Immunol Unit, Turku, Finland..
Univ Turku, Inst Biomed, Infect & Immunol Unit, Turku, Finland..
Univ Turku, Inst Biomed, Infect & Immunol Unit, Turku, Finland..
Univ Turku, Inst Biomed, Infect & Immunol Unit, Turku, Finland..
KTH, School of Engineering Sciences in Chemistry, Biotechnology and Health (CBH). Univ Helsinki, Dept Physiol, Biomed, Helsinki, Finland. Nordic SARS Response AB, Stockholm, Sweden..
Univ Helsinki, Dept Virol, Helsinki, Finland..
Univ Helsinki, HUS Diagnost Ctr, HUSLAB, Clin Microbiol, Helsinki, Finland.;Helsinki Univ Hosp, Helsinki, Finland..
Univ Helsinki, HUS Diagnost Ctr, HUSLAB, Clin Microbiol, Helsinki, Finland.;Helsinki Univ Hosp, Helsinki, Finland..
Univ Helsinki, HUS Diagnost Ctr, HUSLAB, Clin Microbiol, Helsinki, Finland.;Helsinki Univ Hosp, Helsinki, Finland..
Turku Univ Hosp, Clin Microbiol, Turku, Finland..
Univ Turku, Inst Biomed, Infect & Immunol Unit, Turku, Finland.;Turku Univ Hosp, Clin Microbiol, Turku, Finland..
Univ Turku, Inst Biomed, Infect & Immunol Unit, Turku, Finland.;Turku Univ Hosp, Clin Microbiol, Turku, Finland..
Univ Turku, Inst Biomed, Infect & Immunol Unit, Turku, Finland.;Turku Univ Hosp, Clin Microbiol, Turku, Finland..
Univ Turku, Inst Biomed, Infect & Immunol Unit, Turku, Finland..
Univ Helsinki, Dept Physiol, Biomed, Helsinki, Finland..
Univ Turku, Inst Biomed, Infect & Immunol Unit, Turku, Finland..
Univ Turku, Inst Biomed, Infect & Immunol Unit, Turku, Finland.;Turku Univ Hosp, Clin Microbiol, Turku, Finland..
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2021 (English)In: Journal of Infectious Diseases, ISSN 0022-1899, E-ISSN 1537-6613, Vol. 224, no 2, p. 218-228Article in journal (Refereed) Published
Abstract [en]
Background. Primary diagnosis of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is based on detection of virus RNA in nasopharyngeal swab samples. In addition, analysis of humoral immunity against SARS-CoV-2 has an important role in viral diagnostics and seroprevalence estimates. Methods. We developed and optimized an enzyme immunoassays (EIA) using SARS-CoV-2 nucleoprotein (N), Si and receptor binding domain (RBD) of the viral spike protein, and N proteins from SARS, Middle East respiratory syndrome (MERS), and 4 low-pathogenic human CoVs. Neutralizing antibody activity was compared with SARS-CoV-2 IgG, IgA, and IgM EIA results. Results. The sensitivity of EIA for detecting immune response in COVID-19 patients (n = 101) was 77% in the acute phase and 100% in the convalescent phase of SARS-CoV-2 infection when N and RBD were used as antigens in IgG and IgA specific EIAs. SARS-CoV-2 infection significantly increased humoral immune responses against the 229E and NL63 N proteins. Si and RBD-based EIA results had a strong correlation with microneutralization test results. Conclusions. The data indicate a combination of SARS-CoV-2 Si or RBD and N proteins and analysis of IgG and IgA immunoglobulin classes in sera provide an excellent basis for specific and sensitive serological diagnostics of COVID-19.
Place, publisher, year, edition, pages
Oxford University Press, 2021. Vol. 224, no 2, p. 218-228
Keywords [en]
COVID-19, SARS-CoV-2, enzyme immunoassay, serology, respiratory infection, antibodies, coronavirus proteins, neutralizing antibodies
National Category
Infectious Medicine
Identifiers
URN: urn:nbn:se:kth:diva-302679DOI: 10.1093/infdis/jiab222ISI: 000693671600005PubMedID: 33905505Scopus ID: 2-s2.0-85111110512OAI: oai:DiVA.org:kth-302679DiVA, id: diva2:1599198
Note
QC 20210930
2021-09-302021-09-302024-03-15Bibliographically approved